FDA Adverse Event Summary report: N

6000023-1998-00039

MDR report key: 181157 · Received July 10, 1998

Report

Report Number
6000023-1998-00039
Date Received
July 10, 1998
Date of Event
March 12, 1998
Product Code
LWS
Removal / Correction Number
NI
Report Source
Manufacturer report

Narratives

Description of Event or Problem · 1

AFTER DELIVERING SHOCK, CAPACITOR COULD NOT BE RECHARGED DUE TO CHARGE CIRCUIT TIME OUT. INSULATION DEFECT JUST BELOW BIFURCATION; LEAD STRONGLY KINKED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LWS 7218C NA

Patients

Seq Age Sex Outcome Treatment
1 *